Provider Demographics
NPI:1083462428
Name:LUNA HERNANDEZ, DULCE MARGARITA (PMHNP)
Entity type:Individual
Prefix:
First Name:DULCE
Middle Name:MARGARITA
Last Name:LUNA HERNANDEZ
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:201 STAFFS WAY
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-5366
Mailing Address - Country:US
Mailing Address - Phone:915-888-6957
Mailing Address - Fax:
Practice Address - Street 1:10555 VISTA DEL SOL DR STE 120
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7943
Practice Address - Country:US
Practice Address - Phone:832-869-4818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM809762084P0800X
TX1158186363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry